• Login
    View Item 
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    •   UMB Digital Archive
    • School, Graduate
    • Theses and Dissertations All Schools
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Racism, place, and health of urban black elders

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Find Full text
    Author
    Ryder, Priscilla Tankersley
    Advisor
    Gruber-Baldini, Ann L.
    Date
    2007
    Type
    dissertation
    
    Metadata
    Show full item record
    Abstract
    It has been found that older African Americans have more co-morbidity and lower physical function than European Americans of similar ages. They are also more likely to have been exposed to a lifetime of unfair race-based treatment, and to live in deprived neighborhoods. This investigation examines self-rated health (SRH) of urban African American elders using their reactions to unfair treatment and neighborhood health effects as study variables. Ninety-five community-dwelling, English-speaking, self-identified African Americans ages 60 years and older were recruited from neighborhoods in western Baltimore, using random digit dialing (RDD) and community outreach. Participants were largely poor, high comorbidity, reporting an average of six out of 25 diagnoses, but with high function and high health optimism. A majority (69.5%) reported a history of unfair race-based treatment, most frequently at work (43.0%) or while shopping (40.4%). Forty-four (46.3%) were classified as having an active response to unfair treatment (confronting the person who was treating him/her unfairly), and 17 (17.6%) as denying unfair treatment (reported never thinking of own race in the previous year and not ever experiencing discrimination). SRH was not related to any reaction-to-unfair treatment variable. In two-way analysis using chi2 and t-tests, higher SRH was associated with older age, frequent church attendance, fewer annual health care visits, higher life satisfaction, reporting fewer diagnoses, less bodily pain and depression, higher physical or social function and vitality, and less food insufficiency. In the best individual-level logistic regression model, higher SRH was significantly associated with lower modified CES-D scores (OR=0.89, 95% CI 0.83, 0.95), higher age in years (OR=1.01, 95% CI 1.01, 1.19), male gender (OR=0.24, 95% CI 0.06, 0.95), and more healthcare visits (OR=0.92, 95% CI 0.85, 0.99), adjusting for bodily pain. Although neighborhood deprivation was significantly associated with SRH (OR=0.987, 95% CI 0.978, 0.997), its effect was attenuated when individual-level factors were included in a multilevel logistic regression model. We were unable to demonstrate independent neighborhood health effects; it is likely that neighborhood effects are mediated indirectly through other SRH determinants (e.g., depression, bodily pain). Null results may be due to the small number of participants that were recruited.
    Description
    University of Maryland, Baltimore. Epidemiology and Preventive Medicine. Ph.D. 2007
    Keyword
    Gerontology
    Health Sciences, Epidemiology
    Older African Americans--Health and hygiene
    Baltimore (Md.)
    Attitude to Health
    Healthcare Disparities
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/1023
    Collections
    Theses and Dissertations All Schools
    Theses and Dissertations School of Medicine

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.